Northwest Suburban Physical Therapy LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTHWEST SUBURBAN PHYSICAL THERAPY LTD

Doing business as

Douglas H Mehlan PT

Practice address

2200 W Higgins Rd
Suite 130
Hoffman Estates, IL 60169

Phone

(847) 490-0435

Fax

(847) 490-0560

NPI assigned

Aug 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Douglas Herbert Mehlan, PTNPI 1841462751

Title

President

Phone

(847) 490-0435

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Douglas H Mehlan PT Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Herbert Mehlan, PT

  • Physical Therapist
  • Noblesville, IN
  • NPI 1841462751
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437266848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W HIGGINS RD",
            "address_2": "SUITE 130",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-490-0435",
            "fax_number": "847-490-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W HIGGINS RD",
            "address_2": "SUITE 130",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-490-0435",
            "fax_number": "847-490-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SUBURBAN PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHLAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-490-0435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344425841001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas H Mehlan PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Dermatology, S.C.
• Northwest Health Care Associates
• Northwest Oncology & Hematology, S.C.
• Northwest Physical Therapy, Inc.
• Northwest Primary Care Alliance
• Northwest Surgical Specialists PC
• Northwest Womens Healthcare
• Ellen M Norton, APN
• Shannon K Nourbash, M.D.
• Jeff A. Novak, D.D.S.

• Physical Therapist in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.